Scientific article
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English

MicroRNA-223-3p is a determinant of platelet procoagulant activity

Published inBlood advances, vol. 10, no. 1, p. 83-94
Publication date2026-01-13
First online date2025-10-07
Abstract

MicroRNAs (miRNAs) are regulators of platelet function and may thus contribute to inter-individual variability in platelet reactivity. MiR-223-3p is the most abundant of the platelet-derived miRNAs. Several studies have reported an association between miR-223-3p levels and platelet reactivity or the recurrence of cardiovascular events, but this miRNA's impact on platelet function is still poorly understood. We aimed to investigate miR-223-3p's effects on platelet reactivity in platelets derived from human hematopoietic stem cells (CD34+) and to study the underlying mechanisms of its action. MiR-223-3p upregulation and downregulation were carried out by transfecting megakaryocytes (MKs) derived from CD34+ cells with a miR-223-3p mimic or Cas9/sgRNAs ribonucleoprotein complexes, respectively. Flow cytometry was used to quantify the expression of surface markers of MKs and platelets, platelet production, and platelet reactivity. Platelet-supported thrombin generation was quantified in human plasma. Downregulation of miR-223-3p resulted in fewer proplatelet swellings and decreased platelet production. MiR-223-3p upregulation and downregulation affected the proportion of procoagulant platelets. This phenotype was mirrored by changes in the gene expression of the transmembrane protein 16F (TMEM16F), a phospholipid scramblase that plays a key role in the generation of procoagulant platelets. A luciferase reporter gene assay validated that TMEM16F mRNA was a direct target of miR-223-3p. Platelet-supported thrombin generation was reduced when miR-223-3p was upregulated. In conclusion, miR-223-3p modulates the generation of procoagulant platelets.

Keywords
  • Blood Coagulation / genetics
  • Blood Platelets / cytology
  • Blood Platelets / metabolism
  • Gene Expression Regulation
  • Humans
  • Megakaryocytes / cytology
  • Megakaryocytes / metabolism
  • MicroRNAs / genetics
  • Platelet Activation / genetics
  • Thrombin / metabolism
Citation (ISO format)
CHARLON, Julia France et al. MicroRNA-223-3p is a determinant of platelet procoagulant activity. In: Blood advances, 2026, vol. 10, n° 1, p. 83–94. doi: 10.1182/bloodadvances.2024015290
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Journal ISSN2473-9529
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